0069-0293-01 (NDC) — raw rate rows

NDC · raw rates

0069-0293-01 — Filgrastim-aafi 300 Mcg/ml Ij Soln

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

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Typical negotiated price $311,447

Usually $311,447–$335,405 (25th–75th percentile) across 1 hospital · 2 payers.

“Negotiated” is the hospital’s negotiated facility rate for this NDC 0069-0293-01 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital	Payer	Plan	Negotiated rate	Gross	Cash	Observed	Source
Adventhealth Connerton Both	Aetna	ASA_PPO	$301,864.00	$479,149.51	$191,659.80	2024-12-15	MRF ↗
Adventhealth Connerton Both	Aetna	International_PPO	$311,447.00	$479,149.51	$191,659.80	2024-12-15	MRF ↗
Adventhealth Connerton Both	Aetna_Whole_Health	HMO_PPO	$311,447.00	$479,149.51	$191,659.80	2024-12-15	MRF ↗
Adventhealth Connerton Both	First_Health_Network	PPO	$335,405.00	$479,149.51	$191,659.80	2024-12-15	MRF ↗
Adventhealth Connerton Both	Beech_Street	HMO	$383,320.00	$479,149.51	$191,659.80	2024-12-15	MRF ↗